Responsibilities

• Monitors compliance with rules and contractual terms and agreements with insurance companies and DOH Guidelines.
• Ensures compliance by the facility pricing structure and the rules for the different patient categories including self-payer with implementation.
• Prepares submission for all patient invoice claims through electronically.
• Maintains and reports incorrect charges and charges not captured to Team Billing Lead or Billing Manager.
• Bill all secondary claims processed on a daily basis that is produced by billing system.
• Ensures that DRG revisions are billed on a timely manner according to the billing policy.
• Maintains a high level of productivity while maintaining accuracy.
• Maintains a working knowledge of all universal billing guidelines for all assigned payers.
• Assists and works on all HCPCS revisions for rebills daily.
• Analysis and rebilling of late charges. Rebil...